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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Jaw Bleeding

I am a62 yr old male with good bones and teeth. I am 1-A on heart transplant list. I received reclast in 2010 & 2011. I was in Vanderbilt heart prepping for L-VAD implanted pump and I was having trouble with teeth chipping and then, thay did an X-ray of my mouth as I was complaining of upper tooth pain. Thay want to pull the tooth,But thay saw I had been taking Reclast and would not touch it due to the drug(Reclast) causing jaw breakdown,and tmj got worse causing jaw bleeding out my ear. To have the heart transplant, it must be fixed. Please help! NOW WHAT? Timothy P.Jones.
posted on Thu, 18 Dec 2014
Twitter Sun, 21 Dec 2014 Answered on
Twitter Mon, 22 Dec 2014 Last reviewed on
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Dentist,  's  Response
Dear Timothy P Jones
Your problem is not a simpler one. It requires consultation with your previous and present attending medical and dental doctors. Reclast that you are taking is given to increase mineral density in men. Now if your teeth is removed in inference with this medication, then it might result in bisphosphonate associated osteonecrosis of the jaw. And your bleeding problem indicates towards some systemic disorder which could even be deficient platelets or deficient coagulating procedure in blood. So a thorough medical analysis needed along with your blood reports, recent x rays and consultation with the doctor who advised you to have reclast. Untill unless all this is done, you wont be able to undergo heart transplant.
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Suggest Treatment For Jaw Bleeding

Dear Timothy P Jones Your problem is not a simpler one. It requires consultation with your previous and present attending medical and dental doctors. Reclast that you are taking is given to increase mineral density in men. Now if your teeth is removed in inference with this medication, then it might result in bisphosphonate associated osteonecrosis of the jaw. And your bleeding problem indicates towards some systemic disorder which could even be deficient platelets or deficient coagulating procedure in blood. So a thorough medical analysis needed along with your blood reports, recent x rays and consultation with the doctor who advised you to have reclast. Untill unless all this is done, you wont be able to undergo heart transplant.